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[小梁切除术后的缝线管理]

[Suture management after trabeculectomy].

作者信息

Klink T, Grehn F

机构信息

Universitäts-Augenklinik Würzburg, Würzburg, Deutschland.

出版信息

Ophthalmologe. 2009 Apr;106(4):364-7. doi: 10.1007/s00347-009-1921-5.

DOI:10.1007/s00347-009-1921-5
PMID:19306003
Abstract

The frequency of bleb interventions after trabeculectomy is high. In half of the cases suture manipulation of the scleral flap is needed. Both standard and adjustable sutures are used for outflow adjustment of the scleral flap. The long-term results of both methods are equivalent. Open scleral flap revision and transconjunctival sutures are suitable for the treatment of hypotonia. Postoperative conjunctival suture removal seems to be favourable, improving both intraocular pressure and overall success rate.

摘要

小梁切除术后滤过泡干预的频率很高。在一半的病例中,需要对巩膜瓣进行缝线操作。标准缝线和可调节缝线均用于巩膜瓣的房水引流调节。两种方法的长期效果相当。开放巩膜瓣修复术和经结膜缝线术适用于低眼压的治疗。术后拆除结膜缝线似乎是有益的,可改善眼压和总体成功率。

相似文献

1
[Suture management after trabeculectomy].[小梁切除术后的缝线管理]
Ophthalmologe. 2009 Apr;106(4):364-7. doi: 10.1007/s00347-009-1921-5.
2
Transconjunctival suture adjustment for initial intraocular pressure control after trabeculectomy.小梁切除术后经结膜缝线调整以初步控制眼压
J Glaucoma. 2005 Dec;14(6):435-40. doi: 10.1097/01.ijg.0000185421.51715.84.
3
A New Method for Revision of Encapsulated Blebs after Trabeculectomy: Combination of Standard Bleb Needling with Transconjunctival Scleral Flap Sutures Prevents Early Postoperative Hypotony.小梁切除术后包裹性房水囊肿修复的新方法:标准房水囊肿针刺联合经结膜巩膜瓣缝合可预防术后早期低眼压
PLoS One. 2016 Jun 17;11(6):e0157320. doi: 10.1371/journal.pone.0157320. eCollection 2016.
4
Trabeculectomy: is releasable suture trabeculectomy a cause of better bleb?小梁切除术:可松解缝线小梁切除术是否是更好的滤泡的原因?
Rom J Ophthalmol. 2021 Jan-Mar;65(1):54-58. doi: 10.22336/rjo.2021.10.
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[Revision suture in covered goniotrepanation].[覆盖性前房角切开术中的修复缝线]
Ophthalmologe. 1993 Dec;90(6):578-80.
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Tight scleral flap trabeculectomy with postoperative laser suture lysis.巩膜瓣牢固的小梁切除术及术后激光缝线松解术
Am J Ophthalmol. 1990 Mar 15;109(3):303-9. doi: 10.1016/s0002-9394(14)74555-6.
7
Conjunctival bleb compression sutures: An effective method of addressing hypotony after trabeculectomy or trabeculectomy-related procedures.结膜下滤过泡压迫缝线:一种处理小梁切除术后或小梁切除术相关手术所致低眼压的有效方法。
Eur J Ophthalmol. 2018 Nov;28(6):731-734. doi: 10.1177/1120672118777100. Epub 2018 Jun 11.
8
Flap and suture manipulation after trabeculectomy with adjustable sutures: titration of flow and intraocular pressure in guarded filtration surgery.小梁切除术联合可调节缝线后的瓣和缝线操作:青光眼滤过手术中房水引流和眼压的滴定
J Glaucoma. 2004 Oct;13(5):400-6. doi: 10.1097/01.ijg.0000133387.82126.7c.
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Polyglactin sutures versus nylon sutures for scleral flap suturing in trabeculectomy.小梁切除术中用于巩膜瓣缝合的聚乙醇酸缝线与尼龙缝线的比较
Ophthalmic Surg Lasers. 1999 Jul-Aug;30(7):554-9.
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Trabeculectomy with releasable sutures: a prospective, randomized pilot study.可松解缝线小梁切除术:一项前瞻性随机试验研究
Arch Ophthalmol. 1998 Oct;116(10):1288-93. doi: 10.1001/archopht.116.10.1288.

引用本文的文献

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A comparative study of a modified filtering trabeculotomy and conventional trabeculectomy.改良滤过性小梁切开术与传统小梁切除术的对比研究
Clin Ophthalmol. 2015 Mar 13;9:483-92. doi: 10.2147/OPTH.S74853. eCollection 2015.
2
[Modern filtration surgery. An update].[现代滤过性手术。最新进展]
Ophthalmologe. 2013 Apr;110(4):299-305. doi: 10.1007/s00347-012-2710-0.
3
Comparative study of trabeculectomy using single sutures versus releasable sutures.单缝线小梁切除术与可拆除缝线小梁切除术的对比研究

本文引用的文献

1
Influence of conjunctival suture removal on the outcome of trabeculectomy.结膜缝线拆除对小梁切除术结果的影响。
Ophthalmologica. 2009;223(2):116-23. doi: 10.1159/000181150. Epub 2008 Dec 10.
2
Flap suture--a simple technique for the revision of hypotony maculopathy following trabeculectomy with mitomycin C.瓣状缝合术——一种用于丝裂霉素C小梁切除术后低眼压性黄斑病变修复的简单技术。
Graefes Arch Clin Exp Ophthalmol. 2008 Jun;246(6):869-74. doi: 10.1007/s00417-007-0694-2. Epub 2008 Apr 4.
3
Laser suture lysis or releasable sutures after trabeculectomy.
Clin Ophthalmol. 2012;6:1019-27. doi: 10.2147/OPTH.S32503. Epub 2012 Jul 6.
小梁切除术后的激光缝线溶解或可拆除缝线
J Glaucoma. 2007 Mar;16(2):240-5. doi: 10.1097/IJG.0b013e31802d6ded.
4
Frequency of bleb manipulations after trabeculectomy surgery.小梁切除术后的滤泡操作频率。
Br J Ophthalmol. 2007 Jul;91(7):873-7. doi: 10.1136/bjo.2006.109835. Epub 2007 Feb 1.
5
[Postoperative care after glaucoma filtration surgery].[青光眼滤过手术后的术后护理]
Ophthalmologe. 2006 Sep;103(9):815-23; quiz 824-5. doi: 10.1007/s00347-006-1404-x.
6
Trabeculectomy with mitomycin C: outcomes and risk factors for failure in phakic open-angle glaucoma.丝裂霉素C辅助小梁切除术:有晶状体性开角型青光眼的手术效果及失败风险因素
Ophthalmology. 2006 Jun;113(6):930-6. doi: 10.1016/j.ophtha.2006.01.062. Epub 2006 Apr 27.
7
Trabeculectomy with mitomycin C in pseudophakic patients with open-angle glaucoma: outcomes and risk factors for failure.在人工晶状体植入的开角型青光眼患者中使用丝裂霉素C进行小梁切除术:手术效果及失败的危险因素
Am J Ophthalmol. 2006 Apr;141(4):652-9. doi: 10.1016/j.ajo.2005.11.039.
8
Outcomes of laser suture lysis after initial trabeculectomy with adjunctive mitomycin C.初次小梁切除术联合丝裂霉素C后激光缝线溶解的效果
J Glaucoma. 2006 Feb;15(1):60-7. doi: 10.1097/01.ijg.0000195929.94922.a2.
9
Transconjunctival suture adjustment for initial intraocular pressure control after trabeculectomy.小梁切除术后经结膜缝线调整以初步控制眼压
J Glaucoma. 2005 Dec;14(6):435-40. doi: 10.1097/01.ijg.0000185421.51715.84.
10
Recent advances in trabeculectomy technique.小梁切除术技术的最新进展。
Curr Opin Ophthalmol. 2005 Apr;16(2):107-13. doi: 10.1097/01.icu.0000156138.05323.6f.